Creating Hope and Community: The Critical Role of the Social Worker in a Multi-Tiered System of Support Keynote Presentation for the 3rd Annual Conference of the American Council for School Social Work New Orleans, Louisiana February 10 , 2014. JoAnne M. Malloy, Clinical Assistant Professor Institute on Disability University of New Hampshire Agenda • Introductions• Children and Youth at Risk: Urgency of the Problem and Why PBIS/MTSS is the Answer • The role of the school social worker in a PBIS/Multi-Tiered System of Support: • BREAK • Evidence-Based Practices, Behavior Support, and Cultural Competence • PANEL Discussion Learning Objectives • Articulate the many roles of the school social working within a multi-tiered system of supports. • Identify the advantages of using a multi-tiered system in prevention, early intervention, and evidence-based practices • Articulate specific challenges to working in a multi-tiered system Our Norms Ensure a way for everyone to participate Bring an open mind Listen to understand Silence your cell phones and use them during breaks Acknowledgements • George Sugai & Rob Horner, OSEP Center on PBIS • Lucille Eber, Director of the Illinois PBIS Network • Hank Bohanon, Loyola University of Chicago • Joanne Cashman, IDEA Partnership History- Introductions Tariq • Table Discussion # 1 Who are you concerned about? Step 1 Step 2 Step 3 • Identify 1 student whose need are not being met in your school • How does your school respond to this student now? • What should your school’s response be? • What would be ideal?? Step 4 Step 5 • What is needed to reach the ideal? • What are the steps between what is needed and what exists? • 1 in 5 children will experience a mental health problem of mild impairment; 1/10 will experience a mental health problem of severe impairment. • Of those children and youth who need mental health services, over 75% receive those services in schools (Duchnowski, Kutash, & Friedman, 2002; Power, Eiraldi, Clarke, Mazzuca & Krain, 2005; Rones & Hoagwood, 2000; Wade, Mansour, & Guo, 2008) Percent of Youth Remaining in Services Treatment as Usual Show Rates in Traditional Outpatient Settings 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 72% 49% 26% 9% 1 4 8 Number of Sessions (McKay et al., 2005) 12 Disproportionality • African American students (especially males) are 3.5 times more likely to be suspended or expelled than their white peers • Students with disabilities are 2X more likely to receive one or more out-of-school suspensions than students without disabilities • The dropout rate is 50% or more among African Americans, Native Americans, Hispanic youth, and students with emotional handicaps (Krezmien, Leone, & Achilles, 2006; Skiba, Michael, Nardo, & Peterson, 2002; U.S. Department of Education, 2003, 2012) Why Invest In a Framework? • Increasingly diverse student population – – – – Language, SES, Academic ability (range) Social behaviors Stressors at home / community • To meet the range of needs, teachers need to: – Employ a range of instructional strategies – Teach classroom routines to support higher level thinking skills – Encourage student behaviors – Pointed toward self-management We Should be Adopting A Systemic Approach That is…. Effective • Desired Outcomes? Efficient • Doable? Relevant • Contextual & Cultural? Durable • Lasting? Scalable • Transportable? School Can Add to Risk Factors Osher, Dwyer, and Jackson (2004) Ris k • • • • • • • • Alienation Academic Frustration Chaotic Transitions Negative Relationships with Adults and Peers Teasing, Bullying, Gangs Segregation with Antisocial Peers School-driven Mobility Harsh Discipline; Suspension, Expulsion, Push Out/Drop Out Impact of Trauma on Development Impairment of: • Attachment • Biological Impacts • Affect Regulation • Dissociation • Behavioral Regulation • Cognition • Self-Concept • Family Context Developmental Trauma Disorder (van der Kolk, 2005) “many problems of traumatized children can be understood as efforts to minimize objective threat and to regulate their emotional distress” (p.403) • These are survival responses to disordered or dangerous environments “{the child’s} maladaptive behaviors tend to inspire revulsion and rejection…and is likely to lead to labeling and stigmatizing children for behaviors that are meant to ensure survival.” (p. 404) How about the adults? Reactive responses…. When we experience aversive situation, we want select interventions that produce immediate relief – – – – Remove student Remove ourselves Modify physical environment Assign responsibility for change to student &/or others Think of Tariq…. School Can Build Protective Factors Pro tec tion Osher, Dwyer, and Jackson (2004) • • • • • • • • Connection Academic Success Supported Transitions Positive Relationships with Adults and Peers Caring Interactions Interaction with Pro-social peers Stability Positive approaches to disciplinary infractions VIOLENCE PREVENTION • Positive, predictable school-wide climate • High rates of academic & social success • Formal social skills instruction • Positive active supervision & reinforcement • Positive adult role models • Multi-component, multi-year schoolfamily-community effort • Surgeon General’s Report on Youth Violence (2001) • Coordinated Social Emotional & Learning (Greenberg et al., 2003) • Center for Study & Prevention of Violence (2006) • White House Conference on School Violence (2006) The Origins of PBS* PBS originates from: 1) The science of applied behavior analysis (ABA) and the theory that all behavior has a purpose and/or communicates something. 2) The Public Health Multi-tiered Model of Prevention 3) The movement for normalization and inclusion of individuals with disabilities, and, 4) Person-centered values *(Carr, 2002) SW-PBS Logic! Successful individual student behavior support is linked to host environments or school climates that are effective, efficient, relevant, & durable for all students (Zins & Ponti, 1990) Effective Social & Academic School Culture Common Language SWPBS Common Experience Common Vision/Values Features of PBIS • Multi-tiered Framework • Teach and reinforce socially values social skills • Work in representative teams • DATA! DATA! DATA!- To assess the needs of students, to assess implementation, and to assess outcomes • Evidence-based practices (values-based) What does it mean to be systematic about behavior support for students in classrooms? In schools? VOC Rehab Job’s for America’s Graduates (JAGS) JROTC Manchester School of Technology (MST) Outreach coordinator VLACS Academic Level system Go Manchester MCC Citiyear Upward Bound Developed 2010-2011: in collaboration with the RENEW Oversight Team, the Behavior Support Team, the Administration Team and with the help of West faculty and staff. One School’s Journey: Rundlett Middle School: The mission of the Rundlett Middle School PRIDE Team is to guide, support, and sustain the development of structures and systems that foster a positive school climate and promote student learning. Table Discussion: The Skills of the Social Worker The Changing Role of the School Social Worker 1)School social workers as School FirstResponders 2) School Social Workers as Referral Experts and Resource Coordinators 3) School social workers as Three-Tier Intervention Experts 4) School social workers as Organizational Consultants 5) School social workers as EvidenceInformed Practitioners (Kelly, 2012) National Study of SSW (Kelly, et al., 2010) SSW population demographics remain largely unchanged since earlier studies (Allen-Meares, 1994; Costin, 1969) • " Students face complex issues, but few are served by outside mental health services: SSW are often the only provider • " Paradigm shift for attention to prevention has not yet been echoed in practice: high caseloads, student complexities, and administrative paperwork demands largely explain the ideal/actual discrepancy noted by respondents” • " Majority of time in individual and group counseling” • Emphasis on family engagement as a Tier 1 or Tier 2 intervention, but further study is needed to understand how family engagement is operationalized across school social work practice contexts • SSW play a limited role in school leadership through participation in school committees, developing prevention activities, or improving school culture • Limited reliance on use of research, journals, and books to improve practice • Workshops and peers rate much higher, but unclear how evidence-based those resources are being used 10 minute B R E A K “Instead of enforcing its demands for compliance, a teacher may help students understand what is being done to them. She can talk about mutual respect instead of obedience. She can help them to understand the positive rewards for acceptable forms of behavior. In particular, in a liberal democratic society, a caring teacher will help students to acquire the skills and understanding necessary for full participation.” (Noddings, 2002. Starting at Home: Caring and Social Policy, p. 202) Marcel • Discussion # 3 Why Do We Need To Be Culturally Competent and Responsive? Louisiana Disproportionality Example: Students Without Disabilities, Discipline by Race and Ethnicity* 80 70 60 Asian/Pacific Islander Hispanic 50 40 Black 30 White 20 10 0 Corporal Punishment More Than One Out of School Suspensions Referrals to law Enforcement School- Related Arrests Percent of Student Population *Source: Office of Civil Rights, US Department of Education; 2009-10 Estimates SCHOOL-WIDE CLASSROOM 1.1. Leadership team 1.All school-wide 2.Behavior purpose statement 3.Set of positive expectations & behaviors 4.Procedures for teaching SW & classroom-wide expected behavior 5.Continuum of procedures for encouraging expected behavior EVIDENCEBASED INTERVENTION PRACTICES 6.Continuum of procedures for discouraging rule violations INDIVIDUAL STUDENT 2.Function-based behavior support planning 3.Team- & data-based decision making 4.Comprehensive person-centered planning & wraparound processes 5.Targeted social skills & self-management instruction 6. Individualized instructional & curricular accommodations 3.Positively stated expectations posted, taught, reviewed, prompted, & supervised. 4.Maximum engagement through high rates of opportunities to respond, delivery of evidencebased instructional curriculum & practices 5.Continuum of strategies to acknowledge displays of appropriate behavior. 6.Continuum of strategies for responding to inappropriate behavior. 7.Procedures for on-going data-based monitoring & evaluation 1.Behavioral competence at school & district levels 2.Maximum structure & predictability in routines & environment NONCLASSROOM 1.Positive expectations & routines taught & encouraged FAMILY ENGAGEMENT 1.Continuum of positive behavior support for all families 2.Frequent, regular positive contacts, 2.Active supervision by all staff (Scan, communications, & acknowledgements move, interact) 3.Formal & active participation & involvement as 3.Precorrections & reminders equal partner 4.Positive reinforcement 4.Access to system of integrated school & community resources PBIS Features- Tier 2 ► Systems: – Targeted Team – Early Identification, Decision Rules. – Communication with teacher, parents and students. ► Practices: – – – – Check In/Check Out Social Contracting Other Targeted Group Interventions Simple Functional Behavioral Assessment and Behavior Support Plans ► Data: – Weekly (Bi-weekly) ODRs, Attendance, Progress Reports. – Functional Behavioral Assessment, Competing Behavior Pathway Applied Behavior Analysis • The notion that behavior is influenced by a 3part sequence: 1. there is a stimulus 2. there is then a response 3. There is a reinforcing consequence • Many of the methods we now use for teaching is based upon ABA, and there is much research to support this framework Functions (Purposes) of Behavior Behavior meets a need the individual has: • Attention- the individual is using the behavior to gain attention from peers or adults. • Escape- the individual is engaging in the behavior to avoid a task, such as doing chores or homework. • Tangible – the individual is engaging in the behavior in order to gain something (for example, trying to get you to buy him or her something). • Sensory- the individual is engaging in the behavior to respond to some stimulus or sensory need (some children, for example, have the need to block out noise or avoid contact with people) The ABCs of Behavior • Antecedents – what happens right before a behavior occurs • Behavior: What does the behavior look like? • Consequences – what happens right after a behavior occurs • Reinforcers – consequences which increase a behavior PBIS Features -Tier 3 ►Data • Individualized Progress Monitoring ►Systems • Systematic screening for intensive level support needs • Teacher training and support through Targeted Team • Staff time and resources to provide individualized supports to youth ►Practices • • • • Individualized person-centered planning and supports Individualized education planning and supports Intensive FBA and Behavior Support Plans Referral to Community Resources Are you a behaviorist? Social Learning Theory…. Cognition, behavior development One’s behavior Context People & environment & cognition “Tariq” (again) • How can he be College and Career Ready? Youth with EBD Need… • An intervention that assists with high school completion and real world employment • To learn self-determination skills for transition to adulthood • Assistance to build a positive social support network • Assistance to develop a personalized career and post-high school plan RENEW: Conceptual Framework System of Care and Wraparound YOUTH, FAMILY RENEW SelfDetermination Schoolto-Career Bronfenbrenner’s Ecological System’s Model BUILDING HOPE: RENEW PRINCIPLES • • • • • Self-Determination Unconditional Care Strengths-Based Supports Flexible Resources Natural Supports 54 My Strengths 4/8/2015 55 NH PBIS Project: High School Dropout Rates: 2004-2012 (n=11) 10 Woodsville Berlin HS 9 Kennett Somersworth HS 8 7 Spaulding HS (Rochester) Raymond HS Manchester Central 6 Manchester Memorial Nashua North HS 5 Nashua HS South APEXSchools Averages 4 Statewide average 3 2 1 0 2003-2004 Actual 2004- Actual 2005- Actual 2006- Actual 2007- Actual 2008- Actual 2009- Actual 2010- Actual 2011Baseline Year 05 06 07 08 09 10 11 12 NH PBIS High School Project: Fidelity (n=15) 7 6 Schools with PBIS Fidelity (n=7) 5 4 Schools w/o PBIS Fidelity (n=8) 3 State Average 2 1 0 Baseline 3 Years later Dropout Rates: Louisiana 8.00 7.00 6.00 Annual Event Dropout Rate 5.00 4.00 3.00 2.00 1.00 0.00 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 HOPE! Latoya Fletcher RENEW Facilitator's Training © Institute on Disability, University of New Hampshire 59 Relationship-Building: Part of the Social Worker’s Vocation “Today many young people not only fail to develop the capacity to care, but also seem not to know what it means to be cared for….Kids seem to be able to survive material poverty, and many can ignore much of the violence in the media…if they have continuing relationships with adults who obviously care for them” (Noddings, 2002, p. 25 & 26) 60 Thank you! JoAnne M. Malloy, Ph.D. Project Director (603) 228-2084 x 27 JoAnne.Malloy@unh.edu UNH Institute on Disability http://iod.unh.edu RENEW Facebook Page: https://www.facebook.com/RENE Wyouthnh whocaresaboutkelsey.com 61